COHN Health Promotion and Prevention 4 — Questions and Answers
Question 1: A worksite wellness program achieves a 10% reduction in emergency department visits over one year. This is an example of which type of program evaluation?
- Formative evaluation
- Process evaluation
- Summative (outcome) evaluation (Correct answer)
- Economic evaluation
Correct answer: Summative (outcome) evaluation
Summative or outcome evaluation measures the actual results and impact of a program after implementation.
Question 2: Which dietary recommendation is consistent with current USDA Dietary Guidelines that a COHN should promote in a worksite nutrition program?
- Increase saturated fat intake to replace refined carbohydrates
- Fill half the plate with fruits and vegetables at each meal (Correct answer)
- Eliminate all dietary fat to reduce cardiovascular risk
- Limit protein intake to less than 10% of total calories
Correct answer: Fill half the plate with fruits and vegetables at each meal
The USDA MyPlate guidance recommends making half of every plate fruits and vegetables as a core dietary pattern.
Question 3: A COHN implements a walking program at lunch. Three months later, participation has dropped by 50%. The BEST next step is to:
- Discontinue the program due to low interest
- Survey participants and non-participants to identify barriers (Correct answer)
- Increase incentives immediately without further assessment
- Mandate participation to restore enrollment numbers
Correct answer: Survey participants and non-participants to identify barriers
Surveying both participants and non-participants identifies specific barriers and facilitators to inform program adjustments.
Question 4: Which federal law requires employers with 50 or more employees to provide up to 12 weeks of unpaid, job-protected leave for certain family and medical reasons?
- Americans with Disabilities Act (ADA)
- Occupational Safety and Health Act (OSH Act)
- Family and Medical Leave Act (FMLA) (Correct answer)
- Employee Retirement Income Security Act (ERISA)
Correct answer: Family and Medical Leave Act (FMLA)
The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons.
Question 5: When promoting mental health in the workplace, the COHN should recognize that stigma:
- Has little impact on whether employees seek mental health care
- Is a significant barrier to employees accessing mental health services (Correct answer)
- Primarily affects only employees with chronic physical conditions
- Is addressed solely through EAP program availability
Correct answer: Is a significant barrier to employees accessing mental health services
Mental health stigma is a well-documented barrier that prevents employees from seeking needed care even when services are available.
Question 6: The primary goal of a Health Risk Appraisal (HRA) in a worksite setting is to:
- Replace biometric screenings for cost savings
- Identify individual risk factors to guide targeted health interventions (Correct answer)
- Fulfill mandatory OSHA reporting requirements
- Determine employee eligibility for disability benefits
Correct answer: Identify individual risk factors to guide targeted health interventions
HRAs collect behavioral, lifestyle, and health data to identify modifiable risk factors and guide personalized health promotion efforts.
Question 7: A COHN planning a worksite diabetes prevention program should know that the CDC-recognized National Diabetes Prevention Program (DPP) focuses primarily on:
- Insulin therapy management for diagnosed diabetics
- Lifestyle changes including weight loss, healthy eating, and physical activity (Correct answer)
- Genetic testing to identify employees at hereditary risk
- Quarterly HbA1c screening for all employees over age 45
Correct answer: Lifestyle changes including weight loss, healthy eating, and physical activity
The CDC-recognized DPP is a structured lifestyle change program targeting modest weight loss (5-7%) and increased physical activity to prevent type 2 diabetes.
COHN Health Promotion and Prevention 4
A worksite wellness program achieves a 10% reduction in emergency department visits over one year.
This is an example of which type of program evaluation?